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本文报告1例原发性醛固酮增多症(简称原醛)患者误诊高血压达26年,报告如下。患者女,42岁。16岁起有头昏、头痛,体检发现血压增高,常波动在20～28/12～15kPa之间。近2年来血压居高不下,发作时心悸、胸闷、头昏目眩,无面红出汗、尿浊、浮肿、手足抽搐等。间断服用降压片、心痛定、巯甲丙脯酸、心得安等。曾在多所大医院查17羟17酮等。因行走时忽感头昏不能站立,左侧肢体麻木于1990年7月22日入本院。拟诊高血压病,
This article reports 1 case of primary aldosteronism (referred to as primary aldehyde) misdiagnosed hypertension for 26 years, the report is as follows. Female patient, 42 years old. 16 years old have dizziness, headache, physical examination found that blood pressure, often fluctuating between 20 ~ 28/12 ~ 15kPa. Nearly 2 years, high blood pressure, onset palpitations, chest tightness, dizziness, no redness sweating, urine turbidity, edema, tetany and other hand-foot. Intermittent taking antihypertensive tablets, nifedipine, captopril, such as peace of mind. In many large hospitals 17 hydroxyl 17 ketone and so on. Because of walking suddenly feel dizzy unable to stand, left limb numbness on July 22, 1990 into our hospital. Hypertension to be diagnosed,